24D2145889 CLIA NUMBER - ST PAUL - RAMSEY COUNTY PUBLIC HEALTH CLINIC 555

Laboratory Demographics

CLIA Number: 24D2145889

Facility Name: ST PAUL - RAMSEY COUNTY PUBLIC HEALTH CLINIC 555

Facility Address:
555 CEDAR STREET
SAINT PAUL, MN
ZIP 55101
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Facility Phone Number: 651 266-1255

Facility Type: Other - OUTREACH

Certificate Type: Waiver

NPI Number: 1144567462

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name	Field Value
CLIA Number	24D2145889
LAB Type	Other - OUTREACH
Facility Name	ST PAUL - RAMSEY COUNTY PUBLIC HEALTH CLINIC 555
Street	555 CEDAR STREET
City	SAINT PAUL
State	MN
ZIP	55101
Phone	651 266-1255
CertificateType	4
CertificateEffectiveDate	3/19/2024
CertificateExpirationDate	3/18/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024